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大鼠排尿反射的电生理研究

Electrophysiological study of micturition reflexes in rats.

作者信息

Mallory B, Steers W D, De Groat W C

机构信息

Division of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15261.

出版信息

Am J Physiol. 1989 Aug;257(2 Pt 2):R410-21. doi: 10.1152/ajpregu.1989.257.2.R410.

Abstract

Electrophysiological techniques were used to examine the asynchronous and evoked activity on postganglionic nerves to the urinary bladder in the urethananesthetized rat. Distension of the bladder (0.4-0.6 ml) evoked reflex contractions of the bladder (mean intravesical pressure 28 cmH2O) and efferent firing on postganglionic nerves. Electrical stimulation of afferent and efferent axons in the pelvic nerve elicited short-latency (0.3-11 ms) responses and long-latency (45-170 ms) reflexes on the nerves. The short-latency responses consisted of nonsynaptic axonal volleys with conduction velocities ranging from 0.5 to 11 m/s and synaptic responses with latencies of 6-11 ms. Stimulation of the pelvic nerve elicited late supraspinal reflexes (mean latency 122 +/- 28 ms) in 60% of normal rats and an early reflex (mean latency 56 +/- 5 ms) in 25% of those animals in which a late reflex was also identified. Early reflexes (mean latency 50 +/- 9 ms) were elicited in 100% of chronic spinal animals. The conduction time for the afferent and efferent limbs of the reflexes was calculated to be 7 and 58 ms, respectively, with a central delay of 57 ms for the late and less than 5 ms for the early reflex. It is concluded that sacral parasympathetic input to the urinary bladder of the rat is mediated by supraspinal and spinal reflex pathways. It is likely that in normal animals the late-occurring supraspinal reflex mediates micturition. The significance of the spinal reflex in the normal animals is uncertain; however, this reflex is essential for the generation of automatic micturition in chronic spinal preparations.

摘要

采用电生理技术,在乌拉坦麻醉的大鼠中检测膀胱节后神经的异步活动和诱发活动。膀胱扩张(0.4 - 0.6 ml)诱发膀胱反射性收缩(平均膀胱内压28 cmH₂O)以及节后神经传出纤维放电。电刺激盆神经中的传入和传出轴突,可在神经上引发短潜伏期(0.3 - 11 ms)反应和长潜伏期(45 - 170 ms)反射。短潜伏期反应包括传导速度为0.5至11 m/s的非突触性轴突群放电以及潜伏期为6 - 11 ms的突触反应。刺激盆神经在60%的正常大鼠中引发晚期脊髓上反射(平均潜伏期122 ± 28 ms),在25%同时也有晚期反射的动物中引发早期反射(平均潜伏期56 ± 5 ms)。在100%的慢性脊髓动物中引发早期反射(平均潜伏期50 ± 9 ms)。反射的传入和传出支的传导时间分别计算为7 ms和58 ms,晚期反射的中枢延迟为57 ms,早期反射的中枢延迟小于5 ms。结论是,大鼠膀胱的骶副交感神经输入由脊髓上和脊髓反射通路介导。在正常动物中,晚期出现的脊髓上反射可能介导排尿。脊髓反射在正常动物中的意义尚不确定;然而,这种反射对于慢性脊髓制备中自动排尿的产生至关重要。

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